Active NPI
Elizabeth Serrin Conley, NCC, LPC
- Professional Counselor
- Denton, TX
National Provider Identifier
1679721484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62978
- Practice address
- 914 N Locust
Denton, TX 76201 - Phone
- (940) 300-9616
- NPI assigned
- Sep 4, 2008
- Last updated
- Sep 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62978 | TX | Primary |
Addresses
Primary practice location
914 N Locust
Denton, TX 76201
Mailing address
2004 Williamsburg Row
Denton, TX 76209
Phone (940) 300-9616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62978 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1679721484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 WILLIAMSBURG ROW",
"city": "DENTON",
"state": "TX",
"postal_code": "76209",
"telephone_number": "940-300-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 N LOCUST",
"city": "DENTON",
"state": "TX",
"postal_code": "76201",
"telephone_number": "940-300-9616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "ELIZABETH",
"middle_name": "SERRIN",
"credential": "NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
- Complete Foot and Ankle Care of North Texas, PA
- Concentra Primary Care (Concentra Primary Care - Denton ISD)
- Concierge Infusion, LLC
- Desiree Alyssa Conde
- Gwendolyn Lee Conder-Hollandsworth
- Sally A Connaughton
- Connections Physicians Group
- Connections Primary Care
- Consulting Medical Services of Denton, PLLC
- Deborah A Conte, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.